Individual
TIONAH PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS OF SCIENCE
Contact information
Practice address
10830 GREENWELL SPRINGS RD, BATON ROUGE, LA 70814-5014
(225) 323-2253
Mailing address
18532 LAKE HARBOR LN, PRAIRIEVILLE, LA 70769-5274
(225) 323-2253
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1889989
—
LA
Enumeration date
06/18/2019
Last updated
06/18/2019
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